Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0214X | Pediatric Pulmonologist | 239298 | NY |
NPI | 1225249741 |
---|---|
Provider Name | Elizabeth Kajunski Fiorino |
First Address | New York, NY 10016-6004 |
Second Address | New York, NY 10016-6004 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/05/2007 |
Last Update Date | 14/01/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
239298 | NEW YORK STATE MEDICAL LICENSE (01) | NY |